Minimally Invasive Radio-Guided Parathyroidectomy in 152 Consecutive Patients with Primary Hyperparathyroidism
| Autor: | Lamar Jones, Brant Victor, Charles D. Livingston, Robert Askew, Douglas Politz |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Male
Technetium Tc 99m Sestamibi Parathyroidectomy medicine.medical_specialty Time Factors Endocrinology Diabetes and Metabolism medicine.medical_treatment Preoperative care Endocrinology Preoperative Care medicine Humans Minimally Invasive Surgical Procedures Retrospective Studies business.industry Thyroid disease Retrospective cohort study Neck dissection General Medicine Length of Stay Middle Aged Hyperparathyroidism Primary medicine.disease Surgery Surgery Computer-Assisted Concomitant Female Radiology business Primary hyperparathyroidism Tomography Emission-Computed |
| Zdroj: | Endocrine Practice. 12:630-634 |
| ISSN: | 1530-891X |
| DOI: | 10.4158/ep.12.6.630 |
| Popis: | OBJECTIVE: To examine the results of minimally invasive radio-guided parathyroidectomy (MIRP) in the treatment of patients with primary hyperparathyroidism, including factors associated with negative technetium-labeled sestamibi scanning. METHODS: We retrospectively analyzed the findings in a group of 152 consecutive patients encountered during the period 2001 through 2004. The overall accuracy of preoperative sestamibi scanning was assessed, and the success of MIRP was determined on the basis of operative time, duration of hospital stay, and rate of complications. RESULTS: All 152 patients underwent preoperative sestamibi scanning; 118 (78%) had positive scans and were treated with MIRP, whereas 34 (22%) had negative scans and underwent traditional neck explorations. Patients with negative sestamibi scans had 5 times the incidence of concomitant thyroid disease in comparison with those who had positive sestamibi scans (P |
| Databáze: | OpenAIRE |
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